IndividualActive
Debra Shaw, NP
NPI 1154494029 · Family Nurse Practitioner · Edina, MN
Provider details
- NPI number
- 1154494029
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- License
- R144120-2 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3400 West 66th Street
Suite 290
Edina, MN 55435
Phone: (952) 914-1882
Fax: (952) 914-1727
Street-level locationGet directions
Mailing address
10973 233rd Ave Nw
Elk River, MN 55330
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2021-03-11
- Certified
- 2021-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.